Independent Medical Exam Comments

Independent Medical Exam Comments - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title   Independent Medical Exam Comments (65 KB PDF)
Description Used by the injured worker to provide comments to L&I about their recent medical exam by an IME.
Detail
Form number F245-053-000
Availability
Online only. See document above to download.
Keywords doctor, español, espanol, exams, independent medical examiner, industrial insurance, physician, spanish, worker's compensation, workers compensation, workers' compensation
Languages English , Spanish
Valid dates 12-2004
Contact information Claims for Job Injuries
Web pages Workers' Comp Claims

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.